HomeMy WebLinkAboutPermit Fence 1993-5-17
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, O~egon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 40 c:;-? C A- ~ e.. / J 14
Assessors Map #: /7-~-:J/- Y4f/
Owner: ~ A- u-.-e.. c;- t /,/ ; ~ b C
Tax Lot #: e:>tt:'? /';?
Address: Lf. D s- 1,
o A. IM.Il /_ / _ ~ A
Phone #: .., '+ )- t) C) ~ J
City:
;;;P.
State: .
Oc-(
Zip:
9-z't~~
Value of Fence:
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Fence Permi t is $5.00 '
Contractor/Installer:
n w /..I 1< fL
Address:
s 4- jA,., I
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards. ~
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Signa:ture
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~-/7- 13
Date
FOR OFFICE USE
Receipt ~;>t:7~. ~
Issued By:
JOB #: 9?~6?7
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~- 9' r
,Date of Application:
SY/'?'3
Total Amount Collected:~C>~
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Checked for Delinquencies:
Checked for Historical Status:
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